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Tinea capitis mimicking folliculitis decalvans
Author(s) -
Tangjaturonrusamee C.,
Piraccini B. M.,
Vincenzi C.,
Starace M.,
Tosti A.
Publication year - 2011
Publication title -
mycoses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.13
H-Index - 69
eISSN - 1439-0507
pISSN - 0933-7407
DOI - 10.1111/j.1439-0507.2009.01761.x
Subject(s) - microsporum canis , shampoo , scalp , dermatology , tinea capitis , folliculitis , medicine , ketoconazole , clearance , fluconazole , scarring alopecia , pathology , antifungal , urology
Summary We report on an adult patient with tinea capitis caused by Microsporum canis , who presented with diffuse alopecia and follicular pustules, mimicking folliculitis decalvans. Examination of the scalp showed severe alopecia with prominent involvement of the frontal and vertex scalp: the skin was markedly erythematous with pustules and brownish crusts. Videodermoscopy revealed visible follicular ostia, numerous pustular lesions and several comma hairs. Fluconazole 150 mg a week for 8 weeks associated with ketoconazole shampoo cleared the inflammatory lesions and produced complete hair regrowth.